A Novel Protocol in Early Cleft Lip Repair: Demonstrating Efficacy and Safety in the First 100 Patients

• DOI: 10.1097/01.gox.0000720544.95784.b5
• Publication Date: 2021-05-07T14:31:54Z
• Authors: Jordan Wlodarczyk; Erik Matthew Wolf...; Alice Liu; Artur Fahradyan; Pedram Goel; William P. Magee; Mark M. Urata; Jeffrey A. Hammoudeh
• Keywords: Nostril; Cosmesis

BACKGROUND: Orofacial clefts are a prevalent birth defect that affects approximately 7.75 neonates out of every 10,000 live births. The optimal timing for repair the cleft lip has yet to be objectively validated and previous supporting evidence guiding ideal may outdated. Earlier takes advantage high degree plasticity within nasal cartilage maxilla as result concentrations circulating maternal estrogen in infant.1 Accomplishing operative infancy capacity decrease restrictive scar formation, improve aesthetic outcomes, accelerate weight gain, feeding maternal-infant socialization.2,3 In this study, we present unilateral patients prospectively enrolled an early (ECLR) multidisciplinary protocol created facilitate safe effective nostril. METHODS: ASA class I/II with and/or palate undergoing <3 months age were over 5 years. Chart review abstracted patient demographics, characteristics, width ratio (defined divided by commissure length),4 data, anesthetic stent complication readmission rates. Preoperative postoperative nostril breadth , width, angle, length, frontal breadth, length measured ratios between noncleft sides approximate distance form symmetry. ECLR nasoalveolar molding matched severity using their CWR compared symmetry outcomes. RESULTS: surgical rates 100 both 2%. Operative times 123 minutes (SD = 37) 177 34), respectively. Hospital stay was 1 day 0). Age at NAM 33 days 15) 118 33) P ≤ 0.001, After ECLR, preoperative from all anthropomorphic measurements improved (P 0.001). Comparing severity-matched patients, similar improvements observed suggesting equivalent results > 0.05). CONCLUSIONS: provides efficacious method correcting deformity. REFERENCES: 1. Kenny FM, Angsusingha K, Stinson D, et al. Unconjugated estrogens perinatal period. Pediatr Res. 1973;7(10):826–831. 2. Weatherley-White RC, Kuehn DP, Mirrett P, Early breast-feeding infants lip. Plast Reconstr Surg. 1987;79:879–887. 3. Petráčková I, Zach J, Borský late operation intelligence quotient psychosocial development 3-7 Hum Dev. 2015;91:149–152. 4. Yao CA, McCullough M, Auslander A, Smile Index: Part A simple, prognostic scale 143:790e–797e.